Anthem and Cigna are in Delaware court to settle the remains of their failed merger, plus more insurance headlines.

Anthem and Cignaâ€™s planned mergerâ€”which would have created the largest payer in the country by membershipâ€”was spiked due to antitrust concerns, and now a Delaware judge will be tasked with wading through what remains of the dispute.

Anthem argues that Cigna owes it $20 billion, as it slowed the merger process with the goal of sabotaging the deal.

Ana Gupte, an analyst atÂ Leerink, said a settlement is more likely to end with Anthem paying Cigna less than the fee to end the merger, which was about $1.8 billion.

Beneficiaries in less populous states, such as Alaska, Vermont and Wyoming, were also less likely to be enrolled in anÂ MA plan.

Clinical representatives from UnitedHealth Group, Anthem and the Permanente Medical Group penned a joint editorial in the Journal of the American Medical Association that they hope serves as a call to action for improving the relationship between payers and providers.